A nurse is reviewing the prescriptions for a newly admitted client who is to undergo cardiac testing. For which of the following procedures should the nurse verify that the client has given written informed consent?
Exercise ECG stress test
Electrocardiogram
CT scan without contrast dye
Echocardiogram
The Correct Answer is A
A. Exercise ECG stress test: An exercise ECG stress test requires informed consent because it involves physical activity that may place stress on the heart and carries certain risks, such as inducing arrhythmias or other complications.
B. Electrocardiogram: An electrocardiogram (ECG or EKG) is a non-invasive, routine diagnostic test that does not require written informed consent.
C. CT scan without contrast dye: A CT scan without contrast dye is a standard imaging procedure that typically does not require written informed consent, unless there are specific risks or complications involved.
D. Echocardiogram: An echocardiogram is a non-invasive ultrasound test of the heart and does not require written informed consent under normal circumstances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Exercise ECG stress test: An exercise ECG stress test requires informed consent because it involves physical activity that may place stress on the heart and carries certain risks, such as inducing arrhythmias or other complications.
B. Electrocardiogram: An electrocardiogram (ECG or EKG) is a non-invasive, routine diagnostic test that does not require written informed consent.
C. CT scan without contrast dye: A CT scan without contrast dye is a standard imaging procedure that typically does not require written informed consent, unless there are specific risks or complications involved.
D. Echocardiogram: An echocardiogram is a non-invasive ultrasound test of the heart and does not require written informed consent under normal circumstances.
Correct Answer is D
Explanation
A. "You will be prescribed medication that will keep you well for years to come." This response provides false reassurance. Although medications can help manage angina, it does not guarantee that the client will not experience future complications.
B. "Do you have family members who died from heart disease?" This question may not address the client's immediate emotional needs and could come off as dismissive of the client's fear.
C. "You should discuss these worries with your physician." This statement redirects the client's concerns to the physician rather than addressing the client's emotional needs and fears in the moment.
D. "Tell me more about these fears." This response is therapeutic and encourages the client to express his concerns and feelings, which is a key part of addressing fear and anxiety.
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